High colonic therapy apparatus



Dec. 3, 1935. N. B. SALERN] HIGH GOLONIC THERAPY APPARATUS Filed Jam 12,1931 2 Sheets-Sheet.l

Dec. 3, 1935. N B, SALERN] 2,022,742

HIGH COLONIC THERAPY APPARATUS Filed Jam. 12, 1951 2 Sheets-Sheet 2 QWEE l A IIlIAJ/Z;

ln van for, M'c/zo/ao 5. dialer/11' flfforn e l 0.

UNITED STATES PATENT OFFICE HIGH COLONIC THERAPY APPARATUS Nicholas B.Salerni, Indianapolis, Ind.

Application January 12, 1931, Serial No. 508,036

19 Claims.

This invention relates to the art of irrigation and medical treatment ofinternal tracts of the human body, the embodiment herein described andshown being adapted for use in high colonic therapy.

An important object is to provide means for inflating the colon with airfor diagnostic purposes and to open passages in case of stoppage.

An important object of the invention is to provide apparatus to permitthe introduction selectively or in common of a number of fluids towithin the tract to be treated.

An important object is to provide means for checking the results ofmedication applied within the tract from time to time to indicate areturn to normal condition.

An important object is to provide a nozzle for. insertion within theentrance of the tract to be treated which can readily be freed ofobstructions without having to remove the nozzle.

Other important objects reside in the new and useful combination of thevarious elements which permit the operator to have under control at alltimes the flow and drainage of fluids.

Reference is made to the drawings in which Fig. 1 is a fragmentaryelevation of apparatus embodying my invention;

Fig. 2, a top plan View of a modified form of fluid control valve;

Fig. 3, a longitudinal vertical section through the valve block shown inFig. 2;

Fig. 4, a transverse vertical section through the nozzle;

Fig. 5, a rear elevation of the nozzle on an enlarged scale;

Fig. 6, a vertical longitudinal section through the nozzle; and

Fig. 7, a vertical transverse section on the line T'! in Fig. 6.

Like characters of reference indicate like parts throughout the severalviews in the drawings.

Referring first to Fig. 1, I provide a standard l9 which may be raisedand lowered and mount on the top end thereof, fluid receptacles, hereshown as three in number, ll, I2, and I3. From the under side of each ofthese receptacles extends a tube l4, l5, and I6 respectively to covernipples projecting from the valve body l'i which carries the valve plugI8 preferably made of glass whereby the passages I9, 20, and 21therethrough may be visible from without. A fourth nipple projects fromthe valve body ll diametrically opposite to that nipple over which thetube 5 is fitted.

A tube 22 leads from this fourth nipple to a valve body 23 where its endis fitted over the nipple 24. Ninety degrees around from the nipple 24is a second nipple 25 over which is slipped the tube 26 which leads fromthe bulb- 2? which i is of the usual syringe type having check valves ineach end whereby contraction and release of the bulb will cause air tobe delivered into the tube 26 under pressure. Ninety degrees around fromthe nipple 25 is a third nipple 2B which has a side outlet to which isfitted a pressure gauge 29. Over the end of the nipple 28 is fitted atube 30 which leads to and fits over the intake nipple 3|, Fig. 4, ofthe nozzle body 32. Ninety degrees around the valve body 23 from thenipple 28 is a fourth nipple 33, from which leads a tube 34 toa-Y-connection 35, one end of which connects with a tube 36 leading tothe drain vessel 36, and the other end of which connects with a tube 31leading thereto from the outlet nipple 38 on the nozzle body 32. It isto be noted that the tubes 36 and 31 are of much larger diameter thanthat of the nozzle intake tube 36.

The nozzle body 32 is preferably adjustably supported by a table 39 onwhich the patient to be treated lies. The nozzle body 32 issubstantially a hollow cylindrical shell having a rotatable plug 40carried therein and secured against accidental longitudinal displacementby a spring bar M, the ends of which extend through holes in the sidewalls of the plug to enter into an annular groove 42 in the nozzle bodybore, the bar 4! being bent inwardly by the rod 43 under the button 44,when the plug is to be removed for cleaning, to flex the bar to theextent that its ends are withdrawn from the groove. A knob 45 is fixedin the outer end of the plug as a means of rotating the plug andtoslidably support the rod 43.

The inner'end of the plug 40 has a counter- 40 bore 46 which is slottedacross to provide the lateral openings 41 and 48. A central passage 49leads back from the bore and is intercepted by the lateral passages 50and 5| at right angles one to the other, the outer orifices of which 45are positioned to register selectively upon rotation of the plug with apassage leading through the body 32 out the nipple 3!. A passage outthrough the discharge nipple 38, is adapted to receive fluids fromthrough either slot openings 50 41 or 48 as the plug may be turned.

A removable nozzle tip 52 fits over the front end of the nozzle body 32and preferably has an outwardly extending flange 53' therearound. Thetip 52 extends forwardly to have a nipple 53 55 on its front end overwhich may be secured a tract penetrating tube 54, here shown as a colontube. Around the base of the nipple 53, to the rear thereof, is provideda plurality of relatively large drainage holes 55 through the tip, and arelatively large bore is provided within the tip to be in reality acontinuation of the counterbore 46 in the plug end.

A metallic tube or pipe 56 of small diameter as compared to that of thebore of the tip 52 is fixed in the end of the passage 49, here shown asby screw threads and extends forwardly to have its other end slidablyand rotatively fitted within the internal bore of the nipple 53 with afluid tight fit. In Fig. 1, this tube 56 is shown as extending in astraight axial line from the plug through the tip, while in Fig. 6, thetube is bent to follow closely around the inner side ofthe tip wall.Upon rotation of the plug by the knob 45, the bent tube will scrapearound the tip Wall and across the holes 55 so as to break up and loosenany mass that may have a tendency to clog up the passageways and preventdrainage through the tip. The tube 56 being of small diameter occupiesbut a very small percentage of the space in the tip and thus permits thetip to afiord the greatest possible area for drainage and at the sametime to carry an intake fluid passage.

Referring to Figs. 2 and 3, a valve block 51! may be employed in placeof the valves H and 23,

V in which case, the. tubes l4, l and 16 are connected directly to thenipples numbered i, 2, and 3 respectively, the bulb 21 to the sidenipple 58, the intake tube 30 over the end nipple 59, and the tube 34 t0the other side nipple 6! ,Here the pressure gauge Si is incorporated inthe block, and two plugs 62 and 63 are rotatively carried in the blockto intercept the various passageways therethrough as indicated, apassage 64 extending longitudinally through the block, a passage 65extending transversely through the block on a line intercepting thepassage as at right angles to have the plug62 at this intersection, andtwo passages 66 and El extending from the nipples I and 3 on lines tointersect the passage 64, at which intersection the plug 63 is located.

The gauge 6| is in communication with the passage 64 back of the plug62. Each plug 62 and 63 has a straight line, horizontal passagetherethrough and two angular passages communicating therewith, the outerorifices of the angular passages each being spaced around forty-five,

degrees from an orifice of the straight line passage.

In practice, the receptacles H, I2 and I3 are supplied with the desiredfluids and the plug l8 7 is turned to allow flow therethrough to thenozzle.

The tube 54 is inserted well up into the-colon and the tip carried inplace to be held by the sphincter muscle of the anus or slight pressurefrom a support. The'knob 45 is then rotated to carry the plug 40 aroundto have the passage as brought into communication with the 'passagethrough the nipple 3| so that fluidmay then flow through the tube 56andthe colon tube 54 into the colon. Drainage may be had back throughthe colon tube54 and'tube 55, as is often necessary in inserting thecolon tube, by rotating the valve plug 68 to have the angular passagescommunicate with the passages through the nipples 28 and 33.

With thenozzle plug 40 in the position as indicated, the outlet passagethrough the discharge nipple 38 is covered over so that the fluidentering the colon is retained as long as the valve plug 68 remains inthe position indicated in Fig. l. The plug 46 may be revolved 180degrees to shut off both the inflow of the fluid and the discharge. Fora continuous flow of fluid into the colon and a discharge therefrom, theplug 40 is revolved ninety degrees to bring the other transverse passage5I into communication with the nipple 3| passage and to have one of theslotted openings in the plug 40 over the discharge open-- ing throughthe nipple 38, whereby fluid may flow back from the colon through theholes 55 into the tip 52 and out the nipple 38 to the vessel 36'.Complete retention of the fluid in the colon without inflow is had byrevolving the plug on around ninety degrees from this position to haveneither passage 50 nor 5| in communication with the intake nipplepassage. Now in case the tube 56 becomes clogged, the plug 68 may be re-5' volved to close off the passage through the nipple 28 and the bulb 21manipulated to create sufficient pressure to blow out the tube contents.Also, in the same manner, pressure may be created in the colon up to thepoint of noticeable pain at which point the pressure is noted. Atsubsequent treatments, if the medication is having effect, a higherpressure should be borne by the colon without any more efiect, so thatby comparison of pressures from one treatment to another, progress ofthe case may be readily indicated. a g r In the same manner air pressuremay be created in the colon to inflate the colon for diagnostic purposesand to move obstructions in the colon.

Also, the pressure gauge is employed as a means to determine the heightthe receptacles ll, l2, and I3 are to be raised for each patient incomparison to previous pressure readings so that in each treatment thepressure of the liquid is known, and by locating the gauge as shown,between the control valve 68 and the nozzle the internal colonicpressure may be determined.

While I have here shown and described my 5 invention in the one bestform as now known to me, it is obvious that structural changes may bemade therein without departing from the spirit of the invention, and I,therefore, do not desire to be limited to that precise form, norany-more than may be required by the following claims.

I claim:

1. In a high colonic therapy device, a plurality of fluid supplyvessels, a single valve selectively controlling the flow from each of'said vessels,

a tube from said valve, a second valve connected to said tube, means.for creating anair pressure in communication with. said second valve,said second valve comprising meansfor cutting off the second valve, apressure gauge on the disline from the tube. g V i 2. In a high colonictherapydevice, a plurality of fluid supply vessels, a single valveselectively controlling the flow from each of said vessels, a tube fromsaid valve, a second valve connected to said tube, means for creating anair pressure in communication with said second valve, said second valvecomprising means for cutting ofi the pressure from said pressurecreating means to the fluid supply means, a discharge line from thesecond valve, a pressure gauge on the discharge line, a nozzle receivingthe said discharge line, said nozzle having a tip, a colon dischargetube leading from the nozzle tip, a tube in the nozzle attached to thetip, and a valve plug in the nozzle connected with the last tube andselectively controlling flow through said discharge line from the tube,and an interconnecting tube between said second valve and said dischargetube.

3. In a high colonic therapy device, a plurality of fluid supplyvessels, a single valve selectively controlling the flow from each ofsaid vessels, a tube from said valve, a second valve connected to saidtube, means for taking air externally of the tube and creating anauxiliary air pressure in communication with said second valv saidsecond valve comprising means for cutting off the pressure from saidpressure creating means to the fluid supply means, a discharge line fromthe second valve, a pressure gauge on the discharge line, a nozzlereceiving the said discharge line, a colon discharge tube leading fromthe nozzle, and a valve plug in the nozzle selectively controlling flowthrough said discharge line and from the tube, a tip on the nozzle, anda tube extending from the said plug into the tip, said tube being incommunication with a passage in the plug, which passage may beselectively con nected and disconnected with said discharge line uponrotation of the plug.

4. In a high colonic therapy device, a plurality of fluid supplyvessels, a single valve selectively controlling the flow from each ofsaid vessels, a tube from said valve, a second valve connected to saidtube, means for taking air externally of the tube and creating anauxiliary air pressure in communication with said second valve, saidsecond valve comprising means for cutting off the pressure from saidpressure creating means to the fluid supply means, a discharge line fromthe second valve, a pressure gauge on the discharge line, a nozzlereceiving the said discharge line having an end tip, a colon dischargetube leading from the nozzle attached to the tip, and a valve plug inthe nozzle attached to the last tube selectively controlling flowthrough said discharge line and from the tube, and an interconnestingtube between said second valve and said discharge tube, said secondvalve having a rotatable member adapted to provide selectively flowbetween said tube and said discharge line, flow between said pressuremeans and said interconnecting tube, flow between said pressure meansand said discharge line, and flow between said discharge line and saidinterconnecting tube.

5. In an irrigating nozzle, a tip having a large internal bore, a nippleon the forward end, said tip having a plurality of relatively largeholes on the forward end about said nipple, and a fluid supply tubeentered within the nipple extending ISIS/t within the tip, said tubebeing rotatable within the tip and of relative small diameter and bentto approach and sweep said large internal bore.

6. In an irrigating nozzle, a rotatable plug in the nozzle, a tip on thenozzle having a relatively large internal bore, and a tube carried bythe plug extending therefrom to discharge through the forward end of thetip, said tip having relatively large holes therethrough near itsforward 5 end and means to sweep across the holes within the bore of thetip, to remove obstructing accumulations therefrom.

7. In an irrigating nozzle, a rotatable plug in the nozzle, a tip on thenozzle having a relative large internal bore, and a tube carried by theplug extending therefrom to discharge through the forward end of thetip, said tip having relatively large holes therethrough near itsforward end, said tube being bent between its forward end and the plugto approach the wall of the tube bore whereby the bent portion of thetube will sweep around the bore upon rotation of the plug.

8. In a high colonic therapy device, a plurality of fluid containingvessels comprising at least three in number, a common valve, a dischargeconnection leading from each vessel to said valve, and said valve havinga single discharge outlet and being formed with a rotary unit havingfour internally intercommunicating peripheral openings adapted to beregistered with openings from the vessel discharge connections and thevalve outlet whereby the rotary unit may be revolved to give a selectiveflow therethrough to the valve discharge outlet from any one container,three containers simultaneously, and to shut off all flow a secondvalve, a bulb connected with the second valve to discharge air underpressure through said valve and having openings for selectivelyconnecting the tanks and the bulb with the discharge from the firstvalve.

9. In a high colonic therapy device, a plurality of fluid containingvessels comprising at least three in number, a common valve, a discharge40 connection leading from each vessel to said valve, and saidvalve'having a single discharge outlet and being formed with a rotaryunit having four internally intercommunicating peripheral openingsadapted to be registered with openings from the vessel dischargeconnections and the valve outlet whereby the rotary unit may be revolvedto give a selective flow therethrough to the valve discharge outlet fromany one container, three containers simultaneously, and to shut off allflow, means for raising and lowering said vesseis to vary the dischargehead from said valve, a second valve, tube means interconnecting thefirst and second valves, means operating independently of the dischargehead from the vessels for creating an auxiliary pressure connected withsaid second valve, a rectal valve, and tube means interconnecting thesecond and rectal valves, said second valve being formed to selectivelyput said pressure means in communication with either tube meansinterconecting with said second valve, and pressure indicating means incommunication with the tube means between the second and rectal valves.

10. In a high colonic therapy device, a plurality of fluid supplyvessels, means for varying the elevation of the vessels, a rectal nozzlevalve having a fluid intake connection, a colon supply opening and acolon drainage outlet separate from the intake connection, a singlevalve receiving the discharge of all of said vessels and selectivelyoperable to give a flow from an individual vessel or from combinationsof vessels, fluid conducting means between the valve and the rectalnozzle valve intake connection, means independent of the pressure fromthe vessels for supplying air under pressure, and valve meansselectively connecting the air pressure means with the nozzle intakeconnection and the nozzle drainage outlet.

11. In a high colonic therapy device, a nozzle having a central passagedischarging from the forward end thereof and an inlet and a reardischarge passage each communicating with the central passage, saidnozzle having a second. inlet passage extending from an orifice near thefront discharge end thereof and communicating with said central passage,valve means comprising a revoluble plug in said central passage havingside inlets selectively intercepting said inlet and discharge passages,and a tube extending from the plug to said forward end, said plug havinga passage therein adapted to be placed in communication between saidtube and said nozzle inlet.

12. In a high colonic therapy device, a fluid supply vessel, a rectalnozzle having a fluid intake 38, a colon supply discharge 5d, a separatecolon discharge intake 55, and a colon discharge outlet 38, valve meansin the nozzle selectively controlling the flow between said intakes anddischarges, valve means independent of the nozzle Valve means betweenthe said vessel, the nozzle fluid intake, and the nozzle colon dischargeoutlet and an auxiliary pressure means independent of the fluid supplypressure controlled by the independent valve means.

13. In an irrigating nozzle, a body having an internal bore, a tip onthe body having a relatively large internal bore in communication withthe body bore, the tip having a discharge orifice in its forward end, aplug revolubly fitted in the body bore having openings about itsperiphery, the body having a fluid inlet opening and a colon dischargeopening, and a tube extending from the plug into said orifice, said plugproviding a passageway from one of its openings to said tube, said tiphaving intake passages therethrough around said orifice, and said plugbeing adapted to be revolved to permit a continuous line of flow fromthrough said inlet opening, plug, and tube out through said orifice andback through said intake passages to within said body bore around saidtube and out through said discharge opening, said tube providing a meansfor keeping colon inflowing fluid from mixing with the colon dischargefluid within the body.

14; In a high colonic irrigating device, a rectal nozzle, 3, fluidsupply vessel giving gravity supply through the nozzle, valve meansbetween the vessel and the nozzle, an air supplying pressure bulb incommunication with the nozzle and a second valve means for selectivelyadding the air supply to the fluid pressure at the nozzle or forsupplying air alone to the nozzle.

15. In a high colonic irrigating device, a rectal nozzle, a fluid supplyvessel giving gravity supply through the nozzle, valve means between thevessel and the nozzle, an air supplying pressure bulb in communicationwith the nozzle and a second valve means for selectively adding the airsupply to the fluid pressure at the nozzle or for supplying air alone tothe nozzle, and a pressure gauge between the second valve and thenozzle.

16. In an irrigating nozzle, a valve body having an intake nipple, anoutlet nipple, and a distal end opening, a plug rotatable within thevalve body having a passage discharging toward its distal end, saidpassage having one or more lateral passages adapted to connect with theintake nipple, said plug being open at its distal end and having twolateral distal discharges alternately connecting with the outlet nippleof the valve body by a rotary adjustment of the plug.

17. In an irrigating valve, a barrel having an intake opening and adischarge opening spaced forwardly of the intake opening, and a plugrotatably carried in the barrel and having a longitudinal bore thereinopening out at the forward end, said plug having one or more lateralpassages from said bore located to selectively register with the intakeopening upon suitable rotation of the plug, and said plug having asecond longitudinal bore with one or more side openings selectivelyregistrable with said discharge opening, a closure over the forwardbarrel end having one or more openings, said side openings in the plugbeing formed to afiord direct passages from said closure opening throughthe plug to said barrel discharge opening, and means extending saidfirst bore g through said cover to afiord a communication therethroughindependently of said second bore, whereby a passage may be had throughthe intake opening, first plug bore, and said means out through saidcover simultaneously with a second passage through the cover, the secondbore, and the discharge opening; or one of said passages separately byrotation of said plug, or both passages closed off, said passages at alltimes remaining without intercommunication with each other.

18. In an irrigating nozzle designed selectively to inject into or draina cavity separately or simultaneously and to completely shut off boththe injection and drain, a barrel, a closure over the end of the barrelhaving an injecting discharge passage and a drain passage therethrough,said barrel having an intake passage and a drain passage removed fromsaid closure, a piston shiftable in the barrel having an intake passageselectively registering with the barrel intake passage and dischargingthrough said closure injecting discharge passage, and said piston havinga second passage in communication with said closure drain passageselectively registrable with said barrel drain passage, the barrelintake and drain passages being spaced circumferentially one from theother to permit the piston to be shifted selectively first; to provide aflow from the barrel intake passage and out through the closuredischarge passage while the barrel drain passage is closed, second; toprovide said flow plus a flow from the closure drain passage through thebarrel drain passage; third, no flow through the closure dischargepassage with flow from the closure drain passage through the barreldrain passage; and fourth, no flow through either the closure dischargeor drain passages.

19. In an irrigating nozzle, a valve body having an intake nipple, anoutlet nipple and a distal end opening, a plug rotatable within thevalve body having a passage discharging toward its distal end, saidpassage having one or more lateral passages adapted to connect with theintake nipple, said plug being open at its distal end and having twolateral distal discharges alternately connecting with the outlet nippleof the valve body by a rotary adjustment of the plug, a nozzle over thedistal end of the body having drain holes therethrough, and a passagecarrying member leading from said valve body passage discharging endthrough said nozzle.

NICHOLAS B. SALERNI.

